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Individual

LISA APRIL ESCALANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
727 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7060
Mailing address
PO BOX 3397, PORTLAND, OR 97208-3397
(503) 717-7443

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1957
TN
363A00000X
Physician Assistant
6321
AZ
363A00000X
Physician Assistant
Primary
PA195377
OR

Other

Enumeration date
03/23/2011
Last updated
04/21/2023
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